Individual
DR. ANNE NICOLE BANDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 435-5956
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 425-5956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS01610
RI
103TC0700X
Clinical Psychologist
Primary
PSO1610
RI
Other
Enumeration date
01/09/2017
Last updated
09/01/2020
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